Reimbursement Specialist (Remote)

  • Full-time

Company Description

If you are a dedicated professional who loves what you do, likes having fun at work, and proactively solves challenges, we’d like to hear from you!

Lingraphica is a mission-driven organization who provides speech-generating devices to help improve communication, speech, and quality of life for people with aphasia.  We look for candidates who enjoy working in a fast-paced, goal-oriented environment, and who share our commitment to helping individuals on their aphasia journey.

Job Description

Purpose: The Reimbursement Specialist – Collector is responsible for following up on denied claims, corresponding with payer inquiries/correspondence and responding to account inquiries. Also, cross-trains with team members to assist in additional billing and collections processes as needed. 

Qualifications

Essential Duties & Responsibilities: 

  • Collecting from Insurance Companies and Patients 
    • Billing primary and secondary insurances  
    • Follow up on claims 
    • Appeal denied claims  
    • Set up and manage patient payment plans  
    • Tracking delivery of LG sale devices   
  • Monitors Accounts Receivable 
  • Maintains confidentiality in all matters concerning patients’ accounts, maintaining HIPAA standards for PHI 
  • Tracks claims/billing errors, denials, rejections, ETC 
  • Initiate calls to customers and insurance companies by phone or mail to collect payments and settle accounts. 
  • May be required to perform other duties as assigned  

Knowledge, Skills & Abilities 

  • Attention to detail, organization and problem-solving skills, persistence, and flexibility 
  • Knowledge of Medicare, Medicaid and Commercial regulations 
  • Computer skills including use of Excel, Outlook, preferred 
  • Exposure to HubSpot or other CRM preferred 
  • Excellent and effective communication 
  •  Detail oriented and organized 
  • Ability to effectively handle multiple and shifting priorities 

Education & Experience 

  • High School Diploma or equivalent, required  
  • 1 – 3 years in medical reimbursement and DME experience, preferred  
  • Exposure to billing and collections, preferred  
  • Experience using medical billing software such as ADSC, preferred  

Additional Information

Travel Requirements:

Ability to travel to satellite sites and/or off-site locations for events, meetings or training as needed (Proof of Covid-19 vaccination required to attend in-person meetings/gatherings) 

Work Environment & Physical Demands:

Incumbent may work from home and is expected to maintain a safe, productive work environment with secure internet access. Must be able to operate a computer with or without a reasonable accommodation. 

Accommodations:

To perform this job successfully, an individual must be able to perform each essential duty and physical demand satisfactorily. The requirements listed above are representative of the knowledge, skills, and/or ability abilities and physical demands required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 

To learn more about Lingraphica, visit: www.lingraphica.com!

This Organization Participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. 

Este empleador participa en E-Verify y proporcionará al gobierno federal la información de su Formulario I-9 para confirmar que usted está autorizado para trabajar en los EE. UU.

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